Current jobs related to Quality Care Coordinator X6 - Orange, California - Eastridge Workforce Solutions

  • Healthcare Quality Coordinator

    4 weeks ago

    Orange, California, United States Eastridge Workforce Solutions Full time

    Eastridge Workforce Solutions is a leading provider of workforce management solutions, committed to connecting skilled professionals with meaningful career opportunities. We are currently seeking a Quality Care Coordinator to join our team.Job ResponsibilitiesManage assigned member outreach by closing gaps in care and increasing HEDIS/IHA/STAR/P4P...

  • Epilepsy Care Coordinator

    4 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Overview:UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County.The Comprehensive Epilepsy Program at UCI Health is a multidisciplinary team of healthcare professionals dedicated to providing high-quality, individualized care for patients with epilepsy.We are seeking a highly...

  • Pediatric Care Coordinator

    4 weeks ago

    Orange, California, United States CHOC - Children's Health Orange County Full time

    Job SummaryThe RN Care Manager is responsible for delivering care coordination services to patients admitted to the inpatient bed. This role involves overseeing the inpatient care team, including the case manager assistant and other members who assist patients and families in navigating the pediatric system of care. The RN Care Manager reviews the formulated...

  • Clinical Care Coordinator

    4 weeks ago

    Orange, California, United States University of California Full time

    Job Summary:As a Clinical Care Coordinator at the University of California, Irvine, you will play a vital role in ensuring the highest quality patient care. Your primary responsibility will be to assess and reassess patients' needs, setting priorities and implementing care plans that promote self-care outcomes.Collaborating with an interdisciplinary team,...

  • RN - Hospice Care Coordinator

    1 month ago

    Orange, California, United States Insight Global Full time

    Job SummaryThe Registered Nurse (RN) is a vital member of our interdisciplinary team, providing compassionate care to patients and families facing terminal illness and bereavement. As a Hospice Nurse, you will coordinate care, assess patient needs, and implement individualized plans of care.Key ResponsibilitiesCoordinate patient care, ensuring seamless...

  • Pharmacy Intake Coordinator

    4 weeks ago

    Orange, California, United States Specialty Care Rx Full time

    Job SummarySpecialty Care Rx is seeking a highly skilled Pharmacy Intake Coordinator to join our team. As a Pharmacy Intake Coordinator, you will be responsible for communicating with patients to obtain information required to process prescriptions, refills, and access benefits. You will also investigate and verify insurance benefits and eligibility for...

  • Urology Care Coordinator

    4 weeks ago

    Orange, California, United States UCI Health Full time

    At UCI Health, we are seeking a skilled Nurse Navigator to join our Urology team. As a key member of our clinical team, you will provide coordination and oversight for effective delivery of subspecialty care to patients in the outpatient Urology clinic.As a Nurse Navigator, you will serve as a single point of contact for patients and/or family members,...

  • Medical Care Coordinator

    4 weeks ago

    Orange, California, United States Illumination Foundation Full time

    Job SummaryThe Medical Coordination Assistant will play a vital role in ensuring the seamless facilitation of medical care for homeless clients discharged from hospitals or other agencies contracted with Illumination Foundation Recuperative Care Centers.This position requires a high level of organization, attention to detail, and effective communication...

  • Inpatient Care Coordinator II Specialist

    2 weeks ago

    Orange, California, United States Alta Hospitals Full time

    Job Summary: We are seeking an Inpatient Care Coordinator II to support our inpatient case managers in creating a seamless transition for hospitalized patients and facilitating customer satisfaction.Key Responsibilities:Review daily hospital census and enter new admissions into Essette, notifying inpatient case managers prior to 9:50am.Enter referral...

  • Pediatric Care Coordinator

    1 month ago

    Orange, California, United States CHOC - Children's Health Orange County Full time

    Job SummaryThe RN Care Manager plays a crucial role in ensuring the optimal clinical and resource outcomes for pediatric patients. This position assumes a leadership role in the interdisciplinary team, responsible for the delivery of care coordination services and utilization review of inpatient services.Key Responsibilities:Provides oversight for care...

  • Outpatient Care Coordinator II

    1 month ago

    Orange, California, United States Alta Hospitals Full time

    Job SummaryThe Outpatient Care Coordinator II will play a crucial role in identifying and reducing barriers to members' care, ensuring timely access to resources and education on the importance of prompt care. As the primary point of contact, this individual will be an integral part of the members' interdisciplinary care team, providing support and working...

  • Clinical Care Coordinator

    1 month ago

    Orange, California, United States Prospect Medical Full time

    Job SummaryThe Inpatient/SNF Case Manager is responsible for coordinating daily Inpatient/SNF services, including assessments, treatment planning, monitoring, evaluation, documentation, and discharge planning. This role interacts with Medical Directors, facility staff, and hospitalists to determine medical necessity of admission, continued stay, or discharge...

  • Nurse Care Coordinator Role

    12 hours ago

    Orange, California, United States University of California Full time

    About the Opportunity:We are seeking a skilled Nurse to collaborate with our interdisciplinary teams at the University of California, Irvine.Job Summary:The successful candidate will work closely with patients and their families to develop and implement personalized plans of care, evaluating outcomes and making necessary revisions. This role also involves...

  • Intake and Placement Coordinator Specialist

    1 month ago

    Orange, California, United States Community Based Care of Brevard, Inc. Full time

    Job SummaryThis position is responsible for overseeing placement activities in the tri-county area, ensuring compliance with federal, state, and contractual requirements. The ideal candidate will have a strong background in child welfare services and mental health operations.Key ResponsibilitiesCoordinate placement efforts to secure the most appropriate...

  • Behavioral Health Care Coordinator

    3 weeks ago

    Orange, California, United States Newport Healthcare Full time

    Job DescriptionAs a Behavioral Health Care Coordinator at Newport Healthcare, you will play a vital role in the care and support of adolescents in our residential program.Key ResponsibilitiesProvide supervision and support to clients, ensuring their safety and well-being.Facilitate daily schedules, including activities, chores, and meal service.Communicate...

  • Intake Coordinator

    4 weeks ago

    Orange, California, United States AmeriPharma Full time

    About AmeriPharmaAmeriPharma is a rapidly growing healthcare company that values new ideas, creativity, and productivity. We're looking for a skilled Intake Coordinator to join our team and contribute to our joint success on a daily basis.Job SummaryAs an Intake Coordinator at AmeriPharma, you will be responsible for coordinating and processing incoming...

  • Dental Office Coordinator

    3 weeks ago

    Orange, California, United States Gentle Dental Full time

    About Gentle DentalWe are dedicated to providing exceptional, lifelong, integrated oral healthcare services that enhance the quality of our patients' lives. Our commitment to patient care, operational and clinical excellence, personal accountability, building relationships, and seeking out innovative approaches is paramount to our success.Treatment...

  • Quality Piping Inspector II

    4 weeks ago

    Orange, California, United States Zachry Group Full time

    Job Summary:As a Quality Piping Inspector II at Zachry Group, you will play a crucial role in ensuring the quality of piping systems on our projects. Your primary responsibility will be to perform visual inspections of piping systems, in-progress inspections to ensure quality, and record the results of tests and/or inspections on approved forms.Key...

  • Outpatient Case Manager

    4 weeks ago

    Orange, California, United States Regal Medical Group Full time

    Job DescriptionThe Outpatient Case Manager is a critical role at Regal Medical Group, responsible for coordinating patient care and ensuring seamless transitions between healthcare settings. This position requires a skilled professional with excellent communication and interpersonal skills, as well as the ability to work effectively in a fast-paced...

  • Nurse Practitioner

    4 weeks ago

    Orange, California, United States KPC Health Full time

    Job Summary:The Registered Nurse, as a professional practitioner, assumes responsibility and accountability for the application of the nursing process and the delivery of patient care. According to the established standards of nursing practice and standards of care, he/she demonstrates an ability to make clinical nursing judgements in an efficient and...

Quality Care Coordinator X6

1 month ago

Orange, California, United States Eastridge Workforce Solutions Full time
Job Title: Quality Care Coordinator X6

Eastridge Workforce Solutions is a leading provider of workforce management solutions, committed to connecting skilled professionals with meaningful career opportunities. We are currently seeking a Quality Care Coordinator X6 to join our team.

Job Responsibilities:
  • Manage assigned member outreach by closing gaps in care and increasing HEDIS/IHA/STAR/P4P scores.
  • Receive inbound calls from members and assist with tracking data.
  • Document healthcare provider activities in quality platforms for accurate tracking.
  • Provide education to encourage staff and providers to complete quality measures.
  • Input alerts in EMR to notify providers of outstanding items due for completion.
  • Develop and maintain P4P and HEDIS training manuals and documentation.
  • Assist with HEDIS medical record reviews and accreditation activities.
  • Provide providers and staff with lab location information.
  • Request medical records from healthcare providers to verify services.
  • Follow departmental policies and procedures for audit compliance.
  • Assist outside departments with facilitating PCP transfers and answering questions.
  • Populate databases with new member demographic information.
Qualifications:
  • Minimum Education: High School Diploma or GED required.
  • Minimum Experience: 3+ years of IPA/HMO experience and 1+ year in P4P/HCC/CMS Star Programs experience.
  • Excellent customer service, negotiation, and conflict resolution skills.
Benefits:

Eastridge Workforce Solutions offers a range of benefits to our temporary employees. Please visit this link to learn more.

Eastridge Workforce Solutions is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.